Jennifer Leigh Gressin-Rybalov, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

012026-01 Issued in NY

Practice address

344 E Main St # 3036
Mount Kisco, NY 10549-3027

Phone

(953) 391-4666

NPI assigned

Sep 20, 2022

Last updated

Sep 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1255054839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BRIAR BRAE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069031723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 E MAIN ST # 3036",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493027",
            "telephone_number": "953-391-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESSIN-RYBALOV",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012026-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Melissa Greenberg, LCSW
• Jamie G Greene, PH.D.
• Susan Lynn Greene, RNFA
• Hannah Simone Greenspan, LMHC
• Mary Gregory
• Autumn L Grey
• Xiaoling Griswold, CRNA
• Jeffrey D Gross, MD
• Stacy S Gross, MD
• Stephan Allen Gross, DDS

• Speech-Language Pathologist in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.